Virtual Reality and Moulage Simulation in Diabetic Foot Wound Care Training (VR)

August 13, 2026 updated by: Sakarya University

A Comparison of Virtual Reality and Moulage Simulation in Diabetic Foot Wound Care Training With Routine Practice: A Randomized Controlled Trial

The goal of this randomized controlled clinical trial is to compare the effectiveness of virtual reality (VR) simulation, moulage simulation, and conventional training for diabetic foot wound care among nurses. The study will evaluate whether these different educational methods affect nurses' knowledge, psychomotor skills, attitudes toward diabetic foot care, and satisfaction with the training.

Study Overview

Detailed Description

To compare the effectiveness of VR simulation, moulage simulation, and conventional training for diabetic foot wound care among nurses.

The main questions it aims to answer are:

  1. Do VR simulation, moulage simulation, and conventional role-play training differ in their effects on nurses' knowledge of diabetic foot care?
  2. Do the three training methods differ in their effects on nurses' psychomotor skills related to diabetic foot wound care?
  3. Do the three training methods differ in their effects on nurses' attitudes toward diabetic foot care?
  4. Do nurses' satisfaction levels differ according to the training method they receive?

Researchers will compare nurses assigned to the VR simulation group, the moulage simulation group, and the conventional role-play group to determine whether VR and moulage-based simulation provide greater educational benefits than conventional role-play training.

Study Type

Interventional

Enrollment (Estimated)

90

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Being a graduate with a bachelor's degree in nursing
  • Volunteering to participate in the study

Exclusion Criteria:

  • Have graduated from a vocational high school specializing in healthcare or have completed a program in the healthcare field.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Moulage Simulation
Training on diabetic wound care will be provided using moulage simulation techniques on high-fidelity simulators.
Training on diabetic foot wound care
Experimental: Virtual Reality Simulation
Training on diabetic foot ulcer care will be provided using VR headsets.
Training on diabetic foot wound care
No Intervention: Conventional Training
Following the theoretical training they receive through conventional teaching methods, they will apply their wound care skills using low-fidelity simulators.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Diabetic Foot Knowledge Test
Time Frame: 3 months
It consists of a total of 20 questions developed by researchers in accordance with the literature on diabetic foot care and designed to assess the level of knowledge regarding diabetic foot care.
3 months
Attitude Scale Towards Diabetic Foot Care
Time Frame: 3 months
The scale, which consists of three sections, is a 10-item measure that evaluates nurses' attitudes toward diabetic foot care; it is the third section of a scale designed to assess nurses' knowledge and attitudes regarding diabetic wounds and their care. On the five-point Likert-type scale (1 = strongly disagree, 2 = disagree, 3 = undecided, 4 = agree, 5 = strongly agree), the best attitude is scored as 5 points, and the worst attitude is scored as 1 point. The lowest possible total score on the scale is 10 and the highest is 50; a higher score indicates that the nurse has a more positive attitude toward diabetic foot care. The Cronbach's alpha value for the original scale was 0.728, while the Turkish adaptation study found it to be 0.89.
3 months
Diabetic Foot Wound Care Protocol Checklist
Time Frame: 3 months
This was developed by researchers in accordance with the literature. The steps will be finalized after being reviewed by experts. It is a checklist used to assess participants' skills in diabetic foot ulcer care. Each item is scored as either 0 or 1. Participants will receive 1 point for the relevant item when they perform the procedure step, and 0 points if they are unable to perform it. The literature indicates that a participant is considered successful if this score equals 70% of the total score and is classified as having successfully completed the training.
3 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Satisfaction Status
Time Frame: 3 months
This was created to allow participants to rate their satisfaction with the training. Using a visual analog scale (0 = Not at all satisfied, 10 = Very satisfied), they will be able to evaluate the training by assigning a score between 0 and 10.
3 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Ramazan Bozkurt, MSc, Sakarya University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

September 1, 2026

Primary Completion (Estimated)

October 1, 2026

Study Completion (Estimated)

November 30, 2026

Study Registration Dates

First Submitted

August 13, 2026

First Submitted That Met QC Criteria

August 13, 2026

First Posted (Actual)

August 18, 2026

Study Record Updates

Last Update Posted (Actual)

August 18, 2026

Last Update Submitted That Met QC Criteria

August 13, 2026

Last Verified

August 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • E-61923333-050.99-516489

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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